| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,840.50 | $6,560.00 | $13,151.00 | |
BCBS
| Facility | $1,113.00 | $1,113.00 | $1,113.00 | |
Medica
| Facility | $55.00 | $612.01 | $4,678.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |